Doctor Dan

Pediatrician at CentroMed SA

[AMSPDC @amspdc]

Drs. Leslie Walker, Bob Vinci, and Ms. Laura Degnon were honored to represent AMSPDC at the @NationalMedAssn's Annual Meeting in PR. They showcased our Pediatrics Workforce Initiative and heard great ideas from the NMA's Pediatric Section.

[Adam Bruggeman, MD @DrBruggeman]

On July 6, CMS quietly did something no Medicare Advantage plan has ever done… it started handing out exemptions from “prior authorization” (WISeR isn’t really prior authorization) to the physicians who earn them.

The WISeR Model, the Wasteful and Inappropriate Service Reduction demonstration CMS launched in Original Medicare on January 1, 2026, has become one of the most misunderstood programs in Medicare policy. Democrats in Congress have tried twice to stop it, most recently with a Congressional Review Act resolution that came to a vote and failed in the Senate. Critics call it AI-driven care denial, which makes sense. Any time CMS puts a for-profit contractor and artificial intelligence in the same sentence as a Medicare coverage decision, critics are right to be skeptical.

WISeR is not prior authorization the way independent physicians have experienced it under Medicare Advantage for the last decade. It does not let contractors invent their own coverage criteria. It does not look at every claim, only those with high levels of prior fraud/waste/abuse. In addition, as of July 6, it now formally exempts physicians who consistently get it right (gold carding).

This week I will walk through what WISeR actually does, mechanically, and make the case that independent physicians should be pushing Congress to build on it rather than repeal it. The real target for reform is not this model. It is every private Medicare Advantage plan that has never offered physicians anything close to what WISeR just built.

[Roupen Odabashian @RoupenMD]

Every tumor board runs on the same hidden tax: someone spends hours pulling the case together before anyone in the room gets to actually think.

I built a tool to remove that tax. You paste a de-identified case, no PHI, and it convenes an AI tumor board that organizes the clinical picture, reasons through options, and matches the patient against open clinical trials. What lands in front of you is a structured first draft, not a blank page.

These tools can be used by anyone anywhere. Not only for physicians in the US and Europe. LMICs need clinical decision support tools as well.

The point is not to replace clinical judgment. It is to move the human effort from data collection to decision making, and to make sure trial options show up at the start of the conversation instead of never.

Try it: https://t.co/fmmSpPBMeF

[Doctor Dan @DoctorVije]

Source: CBS News https://t.co/K4RwdYnHtf

[Jordan Abbott MD @JordanAbbottMD]

Physicians are not burned out because medicine is hard.

Medicine has always been hard. That is not new.

We are burned out because the things making it harder have nothing to do with medicine.

Fix the system. Keep the physicians.

[NBA Courtside @NBA__Courtside]

Kendrick Perkins says the physicality of the Spurs drained the energy out of the arena in game 3:

“It was the tone being set not just by Wemby, but Stephon Castle…. He set the fu*king tone, he set the tone from the jump, from the way he was driving to the basket you could tell he was looking to be aggressive in the paint and every single time that him and Dylan Harper got 2 feet in the paint it was bad for the Knicks, and it was great for the Spurs.”

(Via @RoadTrippinShow)

[SpursRΞPORTΞR @SpursReporter]

Knicks fans screaming about the league not retroactively upgrading Victor Wembanyama’s foul should actually be counting their blessings tonight.

Why? Because while they were focused on Wemby, I'm told the NBA league office was reviewing this entire bench clearing sequence and specifically the actions of Jose Alvarado who previously served a major three-game suspension for having been involved in a nearly identical bench-clearing incident in 2024 against the Miami Heat.

When the scuffle kicks off under the basket, several Knicks players leave the bench area in violation of the rules and Alvarado gets right in the middle of the scrum.

He is seen pushing, heavily engaged with both Luke Kornet and De'Aaron Fox, waving his finger and escalating the tension getting face to face with Fox.

Under the NBA’s strict bench-clearing rules, he is undeniably not acting as a "peacekeeper."

The Knicks players left the bench before San Antonio called timeout.

If the league had decided to apply the letter of the black and white law regarding bench conduct and physical escalation, as they have multiple times this season, New York could easily be down a crucial backcourt piece or 4 for Game 4.

Take the Wembanyama non-upgrade as a wash and be thankful, because the Knicks dodged a massive suspension bullet here. 🧵

#GoSpursGo #PorVida  #NBAFinals

[Bradford Holland MD MBA FACS @DrBradHolland]

We don’t have private health insurance anymore in this country. We have “corporate insurance.” It’s time to get back to truly private insurance and let the patient be the consumer of the insurance product.
#txlege #MedTwitter #medicine #physician #surgeon #advocacy

[Paul Sax @PaulSaxMD]

Ceftriaxone is a narrow antibiotic now.
Plus: ID binomials, BCID magic, linezolid price madness, a Novak Djokovic apology (!), and more.
20 musings, mostly ID-related, videos included.
https://t.co/fQ3OwbFKjo

[FOX SA @KABBFOX29]

NO SOLEY TO BLAME | https://t.co/Y9CK8VotYg
As communities across Central Texas reel from the deadly floods that devastated Kerrville and surrounding Hill Country towns, Fox 29 Chief Meteorologist Alex Garcia is speaking out about what went wrong and what needs to change.

[Bradford Holland MD MBA FACS @DrBradHolland]

Never let yourself be called a “provider!” Words matter. Understand the implications of that word. Stand up and reclaim the terms “Physician,” “Physician Associate,” and “APRN!” #medicine #MedTwitter #physician #provider #medschool #surgeon #txlege

[Bradford Holland MD MBA FACS @DrBradHolland]

“I’m Angry!!

Congress needs to know that there is no care in Medicare if there are no doctors.”
-AMA President Bruce Scott
#MedTwitter #physicians #Medicare #DocFix #Congress #Healthcare #txlege

[b_n_tx @b_n_tx]

Watch @zekesilva3 and @JenniL_KVUE discuss Texas bills to reduce health plans’ burdensome prior authorization delays and denials: https://t.co/NZPGx2pwvG

[Greg Abbott @GregAbbott_TX]

Had a great discussion with Representative @TomOliverson earlier this week about how school choice will open doors for all families across Texas.

We must pass school choice this session.

With Rep. Oliverson’s help, we will make that a reality in our great state.

[Doctor Dan @DoctorVije]

Scientists Reveal a Surprising Link Between Ibuprofen and Brain Health https://t.co/qQD1TMH3e7

[Doctor Dan @DoctorVije]

Aging: 150 minutes of exercise may help reduce death risk by 31% https://t.co/EAHKMD0Uzi via @mnt

[Doctor Dan @DoctorVije]

GLP-1 Agonists: A Guide to Weight Loss & Blood Sugar Control https://t.co/pk5Up4Wgfi

[Women In Medicine® @WimedicineOrg]

tips for advancement:
-don't abandon your network as you move up
-build new skill sets to gain new roles
-avoid glass cliffs & help those below you
-solicit competing offers
-get an employment attorney to review your contract
#WIMStrongerTogether #WIMSummit

[Doctor Dan @DoctorVije]

AI malfunction highlights need for health care safeguards https://t.co/QvoXC4bVyI via @physicianspractice

[AMA @AmerMedicalAssn]

Physicians and nonphysicians: What are the differences? MD, DO. OD, PA, NP, PhD, PsyD, CRNA... Confused yet? Here's an explainer. https://t.co/462d4bK2rR